Organization Active NPI

Pyramid Healthcare Corp

  • Skilled Nursing Facility
  • Stephenville, TX
National Provider Identifier
1629133848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
119030 Issued in TX
Legal business name
PYRAMID HEALTHCARE CORP
Doing business as
Canterbury Villa of Stephenville
Practice address
2309 W Washington St
Stephenville, TX 76401-3805
Phone
(254) 968-4191
Fax
(254) 968-0862
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Patricia Diane Ward, RN
Title
Ceo President
Phone
(254) 580-9424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 119030 TX Primary

Addresses

Primary practice location

2309 W Washington St
Stephenville, TX 76401-3805

Mailing address

PO Box 2105
108 Colorado
Whitney, TX 76692-5105
Phone (254) 580-9424

Other names 1

  • Canterbury Villa of Stephenville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Canterbury Villa of Baird5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629133848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2105",
            "address_2": "108 COLORADO",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766925105",
            "telephone_number": "254-580-9424",
            "fax_number": "254-580-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W WASHINGTON ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013805",
            "telephone_number": "254-968-4191",
            "fax_number": "254-968-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "254-580-9424",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "119030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canterbury Villa of Stephenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stephenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.